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Contact Information

SWORN REFUGE LLC
17 WOODPORT RD STE 2B
SPARTA TOWNSHIP, NJ07871-2415
 Phone: 201-679-3843
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

1041C0700X 80 Licensed Clinical Social Worker
 

Addiction (Substance Use Disorder)

101YA0400X
 

Addiction Medicine

2084A0401X 79 Physician/Addiction Medicine
 

Multi-Specialty

261QM1300X 70 Clinic or Group Practice
 

Professional

101YP2500X
 

Psychiatric/Mental Health

363LP0808X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for SWORN REFUGE LLC

NPI # 1558201285
LBN Legal business name SWORN REFUGE LLC
Authorized official RACHEL KORENBLIT - (CLINICAL DIRECTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 03/31/2026
Last updated 03/31/2026 - About 2 months ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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